A 3-year-old boy is brought to the emergency department with multiple bruises of varying ages on his trunk and upper arms. The parents say he falls a ...

Question

A 3-year-old boy is brought to the emergency department with multiple bruises of varying ages on his trunk and upper arms. The parents say he falls a lot, but their explanation is vague and inconsistent. The child is quiet, withdrawn and clings to nursing staff. What is the most appropriate next step?

Accepted Answer

Discuss the case urgently with the paediatric safeguarding team and follow local child protection procedures

Answer

Document the findings and send the family home with safety advice

Answer

Directly accuse the parents of physical abuse and refuse to treat the child

Answer

Wait to see if more bruises appear over time before acting

Answer

Arrange a routine outpatient appointment in 3 months to reassess

uk-plab-1 MCQ (SBA): Child safeguarding and non-accidental injury